Humanitär hjälp – ett vapen?

This video named “Doctors without boarders” gives the message that “do not let humanitary aid be a weapon”.

Den här videon på Youtube sägs ha avsändaren “Läkare utan gränser”, videon säger “Låt humanitär hjälp inte bli ett vapen”.

Source: youtu.be/cCP61m1rCZ0

Baby got cut in the head and arm during delivery

I am sad to having to read that a small baby, during a caesarean, was both cut in the head and arm. I mean… wasn’t it supposed to be the mother that was cut? Oh mine, what sloppiness. What a crew delivering that baby. I do not want any women to meet such sloppiness at the hospital in a country like Sweden. It is a joke.

The little girl cannot still move her arm normally. Perhaps she now has a lifelong disability. Also hair doesn’t grow in the spot were she got the cut in the head. All this in todays Expressen.se.

Imagine if the doctor had cut the babies throat? And killed the baby. I would have considered it murder during delivery. But I happen to think the doctor wouldn’t even get a warning for that. Can doctors in Sweden do as they please?

I think the girl should get a lot of money for the injuries. The doctor should pay the money. Surely the doctors hospital must have a insurance company covering such? I don’t think the girl will get any if people do not react.

Why hasn’t the little girl been put in contact with micro surgeons, the best in the world? After all some nerves must have been cut…

Just wondering.

Source 20130225:

http://www.expressen.se/gt/lakare-snittade-saras-dotter-under-fodseln/

Distraced doctor cut baby in head and arm during delivery in Sweden.  Distraherad läkare skar bebis i huvudet och armen under kejsarsnittet på förlossningen. Copyright livingforum.wordpress.com

Distraced doctor cut baby in head and arm during delivery in Sweden.
Distraherad läkare skar bebis i huvudet och armen under kejsarsnittet på förlossningen. Copyright livingforum.wordpress.com

The white TV-doctor was suddenly black one day

Many viewers wondered what had happened to the TV-doctor, according to Aftonbladet.se. He is usually white and has blond hair. However, one day, he had a chocolate brown tan. He didn’t look tanned, he actually looked like he was a black man with blond hair.

See for yourself. I however found it hilarious. He actually had taken tanning one step to many. He must have really good pigment since he has turned so dark by just being in a sunny country. He said in a morning show on tv the other day that he didn’t tan in a solarium ever.

Source 20130202:

http://www.aftonbladet.se/nojesbladet/article16172704.ab

My reply to doctors that want to read all medical records of their patients

Today there is a thing called “Sammanhållen journalföring”. This is a thing that makes medical records available over institutions, even cities and regions in Sweden. However the patient must agree to “Sammanhållen journalföring” in order for their doctors to be able to read the medical records. However it is always dependent on that the person that has access to the medical records does what its supposed to do. With this I am saying anyone with access rights to the system and the patients medical record can in fact read the medical records if they want. The system is not designed to keep people out, it gives a warning to the person that has access that it shouldn’t read it but the person can then read it if it really wants. Why this is? Well so that doctors in medical emergencies can give the best of care to the patients.

In todays SVD.se some of the doctors in Linköping are complaining that one colleague has been accused of entering illegally. However the doctor had some kind of doctor-patient-relationship and he was free from charges. However now the doctors want the doctors always to be allowed to read patient records. I say NO, NO, NO. There is no need for a doctor to read about visits to a psychologist, nor the gynecologist or any other patient confidential record. The pussy has nothing to do with health issues in other parts of the body, i.e. a cold. If a patient regularly goes to the psychologist in order to just talk, it has nothing to do with the patient having a broken leg from when falling on the ice. So I am saying no. If the doctor wants to read more, it simply has to ask the patient for permission. It is possible to get permission from the patient to access other medical records. The patients of Sweden should not be even more violated by doctors or any other authorities. Just saying. So therefore the Patientdatalagen should not be changed. I say to the doctors of the article in SVD.se there is not need for all doctors to read everything. Patients are people with integrity, let us preserve humanities one thing – integrity. By keeping the law as is the doctors have to always seek permission. This is completely right. Keep it so. PDL is fine as it is.  (PDL = Patientdatalagen = Patient medical records law).

Sammanhållen journalföring should always be impossible without patient consent. Always forbidden. A doctor in other parts of Sweden has no right entering a patient record. If this would be possible anyone could tap into the record of any person in Sweden. That is just not right. So I do not want any doctors to have more rights. I want the patient to have all the rights on the patients side.

Source 20121230:

http://www.svd.se/opinion/brannpunkt/lakare-forbjuds-att-lasa-journaler_7788136.svd

Cruel hospital care in Sweden

If you are really old and sick… it might be dangerous to end up at the Swedish hospitals. You might not get any water to drink since the doctors might think you are dying. As a reason, said in a article, they say it´s because it will only prolong the suffering of the patient. Oh mine, what things we have to hear every day about peoples view on life. We only have one and if people want to live as long as possible, let them.

The thing about the article is that the women in this case wasn´t dying. She was just 93 years old and sick, not dying. She was without water for four days according to Aftonbladet.se. Not to nice. I have worked in health care long ago and I allways gave water to my patients, no matter how dying they where. It´s inhumane not to give water to a patient. I think it´s cruel.

Source 20121101:

http://www.aftonbladet.se/nyheter/article15704388.ab

Bad routines at hospitals and people get injured

I read an article in Aftonbladet.se about a man in Linköping that was operated and placed at RiL (Regionsjukhuset i Linköping). However after the operation of his foot that was injured in a accident they placed him at another part of the hospital, since they had to few beds within the correct part of the hospital. They forgot about him and the doctors round didn´t go to him and thanks to that when they did remember him three muscles were dying and couldn´t be saved. The hospital just said they were sorry and now he has to live with a injury that makes him crippled for life and not able to continue his sports. The hospital just said they had reported themselves.

I happen to believe that the doctor and nurses should be “prickade” (dotted) for mistakes like forgetting to do their job. When 3 dots, then loose their license to practice. I do not want to be injured for the rest of my life because of neglect from health care industry. If their job isn´t to have responsibity then it is the bosses fault that the personal has no time to make the processes better. If the boss has told the Landstingsstyrelsen that the boss needs resources and not gotten them, then it´s the politicians fault. Maybe politicians that make wrong choices also should have some consecvenses, maybe “böter”, like a ticket? They do not have a license to they have nothing to loose and in order for them to do something it must be a feelable consecevense.

There should be a alarming system for health care personel if they cannot seem to do their job within their responsibilty. There should be no “forgetting” of patients. Especially within health care were the consecevense is death or injuries that cause harm.

There must be consecvenses, then people start to take action and care. This is my strong point of view. Caring and double checking things doesn´t come naturally to everyone. However in this case a man probably would had better changes of a really good life if they just had remembered to do their job.

Source 20121012:

http://www.aftonbladet.se/nyheter/article15601573.ab

Related article:

http://www.expressen.se/nyheter/johns-ben-ruttnade-av-sjukhusets-miss/

Cold facts – Swedish health care darkens child birth injuries

Due to that some Landsting (the Swedish state organises health care through Landstinget) have incentive projects were the midwifes has gotten critic during salery negotiations for having to many ruptures during child birth (source Uppdrag Granskning) some midwifes has starten to hide ruptures (sfinkterrupturer) that really should need a operation for the mother giving child birth. In fact these types of child births where the midwife doesn´t report injuries and hides the injuries for the mothers can result in life long handicaps for the women.

I am thinking there should be no incentive for neither discovering injuries nor not discovering injuries. Either way it can be misused, therefor my suggestion is that there is no incentive for this either way.

However hearing about this on the Uppdrag Granskning program today made me furrious. The mothers needs and life quality doesn´t seem anything worth for the Swedish health care system. I get disappointed that these people are even working in health care. No nurse or doctor should do harm. Quality assurance should allways be done. Maybe a thorough examination should be done after each child birth? After all the problems that the child birth injuries can give mean job losses, sexual activity losses and incontinence etc for the women. Something a operation close to the birth could possibly fix.

All Landsting need quality assurance after child birth, new rutines. All women should be offered examnination and it should be volountary. Not doing the examination should be an option, but the women must be informed of all risk not doing the examination.

If the British research surrounding child birth reptures is true (mentioned in the Uppdrag Granskning show), then 10 000 women in Sweden have been unjured each year, 6000 of them not having any diagnosis. That is bad considering all the problems they can get from these severe injuries mentioned in the TV-program Uppdrag Granskning.

I am saying the problem is not on indiviual layer like one boss in the tv program wanted to say. I happen to think that if a midwife doesn´t get the right training she won´t have the skills. She must be given the time and training for it. And today with cost losses I believe that they cannot get the training they really need.

I do not think that we should have any incentive programs in health care for finding or not having injuries. That is just bad. I think that quality assurance should be done more than it is today. Bosses need more power to fire people that do not want to work for more quality assurance and a better way of working. I want a future oriented health care. I want more effective health care, to do that all occupations need time to be educated and informed. When cutting costs these things cannot be done, but I happen to think they are necessary in the long run. What is otherwise the point of health care if they cannot help the population?

På dagens Uppdrag Granskning fick vi teorier om att barnmorskor mörkar för patienterna att deras underlivsskada i verkligheten kräver operation, då det inte är en ytlig skada utan även inre skada. Huruvida detta är sant eller inte vet jag inte. Nåväl, det förekommer i alla fall konspirationsteorier om detta från medverkande i programmet. Också visar programmet att ett av våra Landsting, som de tittat på, har bonussystem. I ett av Landstingen lär personal fått frågor på sina löneförhandlingar om varför de haft så mycket förlossningsskador osv. De har alltså i ett underläge, dvs löneförhandling fått höra dessa fakta som något negativt. Klart att barnmorskor då inte vågar berätta när skador uppstår. Det ska inte finnas något bonussystem alls, varken för att hitta eller inte hitta fel. Patienterna ska få den bästa vården punkt slut. Behövs en operation så ska det erbjudas. Annars ser jag inte vitsen med att ha sjukhus alls. Kvinnorna ska förvänta sig kvalitet i vården. För det behövs rutiner, undersökningar och inget förbannat slarv. Lathet. Skylla på individnivån är bara lågt, men en av cheferna i programmet säger att de måste gå ned på individnivå med kritik.

Jag säger att det är mer komplicerat än individnivå. Det handlar om att få rätt introduktion till sitt jobb. Idag skärs det ned och besparas här och där och hur kan vi då förvänta oss effektivitet om inte upplärningen av nya barnmorskor är optimal? Jag bara undrar. Varför skuldbelägga någon individ när det kanske handlar om skitkassa utbildningar och skitkassa chefer?

Alltså jag har sett min beskärda del av inkompetens på ledningsnivå på många företag och ibland ges inte de anställda mandat eller tid eller resurser att förändra, förbättra och verkligen öka kvalitén. Men i Reinfeldts Sverige vill de ju allt för ofta skylla på individen. Även arbetslöshet lär ju vara individens fel i Moderatens värld, i alla fall är det som sägs och den politiken som bedrivs. Hur ska jag kunna trolla fram fler jobb att söka? Det är liksom 10 sökanden på 1 jobb. Alla tio kan inte få jobbet, utan bara en! Det är simpel matematik, det fattar till och med lågstadieeleverna.

Nåväl, tillbaks till vården. Vården kan behöva bli effektivare, men jag tycker mig ofta se ett motstånd mot förändring på en del arbetsplatser. Där gäller det att cheferna har mandatet att faktiskt sparka dem som inte vill följa politikernas vision. Jag tycker mycket kan effektiviseras. Mycket kan förbättras. Barnmorskornas jobb borde innefatta förbättringsarbete och kvalitetsvisioner. De borde få mer tid för att förädla och förbättra, så att 6000 kvinnor inte går hem till livslångt lidande. Det ska inte kunna hända att en kvinnas liv är förstört för att någon barnmorska inte fått tillräckligt med handledning eller pga något dumt bonussystem som får dem att inte våga berätta om förlossningsskador.

Source 20120925:

www.svt.se/play Uppdrag Granskning 20.00 20120925.

Related articles:

http://www.dn.se/nyheter/sverige/allvarliga-forlossningsskador-lamnas-utan-tagard

http://www.expressen.se/nyheter/stora-brister-i-svenska-forlossningsvarden/

http://www.expressen.se/nyheter/dokument/barnmorskor-anklagas-for-att-morka-skador/